Individual
MR. JACK STRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
44 KING ST, PITTSFIELD, MA 01201-3208
(413) 445-1134
Mailing address
PO BOX 3861, PITTSFIELD, MA 01202-3861
(413) 344-0263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15028
MA
Other
Enumeration date
09/11/2018
Last updated
10/24/2022
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